﻿<%@ Page Title="" Language="C#" MasterPageFile="~/Frontend.Master" AutoEventWireup="true" CodeBehind="account_create.aspx.cs" Inherits="BabyShop.account_create" %>
<asp:Content ID="Content1" ContentPlaceHolderID="head" runat="server">
</asp:Content>
<asp:Content ID="Content2" ContentPlaceHolderID="ContentPlaceHolder1" runat="server">
<div class="line" id="createAccount">
    <div class="unit size1of1">
        <div class="box box-bdr box-bgcolor">
            <h2 class="mbm ui-borderBottom pbs mam">Tạo tài khoản khách hàng mới</h2>
                        <div class="box-bd">
                <form method="post" action="/customer/account/create/" id="form-account-create" autocomplete="off">
<div style="display:none"><input type="hidden" name="YII_CSRF_TOKEN" value="ebbe645314056ea1d5e8d55790d5a83a46e29eda"></div>
                <fieldset class="ui-fieldset">
                    <div class="unit size2of3">
                        <div class="ui-formRow">
                            <div class="col1 txtRight">
                                <label for="RegistrationForm_gender" class="mts">Giới tính</label>                            </div>
                            <div class="col2">
                                <div class="collection">
                                    <select id="RegistrationForm_gender" name="RegistrationForm[gender]" class="input-text">
<option selected="selected" value="">Lựa chọn</option>
<option value="male">Nam</option>
<option value="female">Nữ</option>
</select>                                                                    </div>
                            </div>
                        </div>
                        <div class="ui-formRow">
                            <div class="col1 txtRight">
                                <label for="RegistrationForm_email" class="mts required">Email <span class="required">*</span></label>                            </div>
                            <div class="col2">
                                <div class="collection">
                                    <input type="text" maxlength="60" id="RegistrationForm_email" name="RegistrationForm[email]" class="ui-inputText" autocomplete="on">                                                                    </div>
                            </div>
                        </div>
                        <div class="ui-formRow">
                            <div class="col1 txtRight">
                                <label for="RegistrationForm_first_name" class="mts required">Họ tên <span class="required">*</span></label>                            </div>
                            <div class="col2">
                                <div class="collection">
                                    <input type="text" maxlength="50" id="RegistrationForm_first_name" name="RegistrationForm[first_name]" class="ui-inputText" autocorrect="on" autocapitalize="on">                                                                    </div>
                            </div>
                        </div>
                                                <div class="ui-formRow">
                            <div class="col1 txtRight">
                                <label for="RegistrationForm_birthday" class="mts">Ngày tháng năm sinh</label>                            </div>
                            <div class="col2 1-row">
                                <div class="collection">
                                    <select id="RegistrationForm_year" name="RegistrationForm[year]" class="input-text accountCreateBirthYear">
<option selected="selected" value="">-</option>
<option value="1900">1900</option>
<option value="1901">1901</option>
<option value="1902">1902</option>
<option value="1903">1903</option>
<option value="1904">1904</option>
<option value="1905">1905</option>
<option value="1906">1906</option>
<option value="1907">1907</option>
<option value="1908">1908</option>
<option value="1909">1909</option>
<option value="1910">1910</option>
<option value="1911">1911</option>
<option value="1912">1912</option>
<option value="1913">1913</option>
<option value="1914">1914</option>
<option value="1915">1915</option>
<option value="1916">1916</option>
<option value="1917">1917</option>
<option value="1918">1918</option>
<option value="1919">1919</option>
<option value="1920">1920</option>
<option value="1921">1921</option>
<option value="1922">1922</option>
<option value="1923">1923</option>
<option value="1924">1924</option>
<option value="1925">1925</option>
<option value="1926">1926</option>
<option value="1927">1927</option>
<option value="1928">1928</option>
<option value="1929">1929</option>
<option value="1930">1930</option>
<option value="1931">1931</option>
<option value="1932">1932</option>
<option value="1933">1933</option>
<option value="1934">1934</option>
<option value="1935">1935</option>
<option value="1936">1936</option>
<option value="1937">1937</option>
<option value="1938">1938</option>
<option value="1939">1939</option>
<option value="1940">1940</option>
<option value="1941">1941</option>
<option value="1942">1942</option>
<option value="1943">1943</option>
<option value="1944">1944</option>
<option value="1945">1945</option>
<option value="1946">1946</option>
<option value="1947">1947</option>
<option value="1948">1948</option>
<option value="1949">1949</option>
<option value="1950">1950</option>
<option value="1951">1951</option>
<option value="1952">1952</option>
<option value="1953">1953</option>
<option value="1954">1954</option>
<option value="1955">1955</option>
<option value="1956">1956</option>
<option value="1957">1957</option>
<option value="1958">1958</option>
<option value="1959">1959</option>
<option value="1960">1960</option>
<option value="1961">1961</option>
<option value="1962">1962</option>
<option value="1963">1963</option>
<option value="1964">1964</option>
<option value="1965">1965</option>
<option value="1966">1966</option>
<option value="1967">1967</option>
<option value="1968">1968</option>
<option value="1969">1969</option>
<option value="1970">1970</option>
<option value="1971">1971</option>
<option value="1972">1972</option>
<option value="1973">1973</option>
<option value="1974">1974</option>
<option value="1975">1975</option>
<option value="1976">1976</option>
<option value="1977">1977</option>
<option value="1978">1978</option>
<option value="1979">1979</option>
<option value="1980">1980</option>
<option value="1981">1981</option>
<option value="1982">1982</option>
<option value="1983">1983</option>
<option value="1984">1984</option>
<option value="1985">1985</option>
<option value="1986">1986</option>
<option value="1987">1987</option>
<option value="1988">1988</option>
<option value="1989">1989</option>
<option value="1990">1990</option>
<option value="1991">1991</option>
<option value="1992">1992</option>
<option value="1993">1993</option>
<option value="1994">1994</option>
<option value="1995">1995</option>
<option value="1996">1996</option>
<option value="1997">1997</option>
<option value="1998">1998</option>
<option value="1999">1999</option>
<option value="2000">2000</option>
<option value="2001">2001</option>
<option value="2002">2002</option>
<option value="2003">2003</option>
<option value="2004">2004</option>
<option value="2005">2005</option>
<option value="2006">2006</option>
<option value="2007">2007</option>
<option value="2008">2008</option>
<option value="2009">2009</option>
<option value="2010">2010</option>
<option value="2011">2011</option>
<option value="2012">2012</option>
<option value="2013">2013</option>
<option value="2014">2014</option>
</select>                                    <select id="RegistrationForm_month" name="RegistrationForm[month]" class="input-text accountCreateBirthMonth">
<option selected="selected" value="">-</option>
<option value="01">01</option>
<option value="02">02</option>
<option value="03">03</option>
<option value="04">04</option>
<option value="05">05</option>
<option value="06">06</option>
<option value="07">07</option>
<option value="08">08</option>
<option value="09">09</option>
<option value="10">10</option>
<option value="11">11</option>
<option value="12">12</option>
</select>                                    <select id="RegistrationForm_day" name="RegistrationForm[day]" class="input-text accountCreateBirthDay" disabled="" style="background:#CCC;">
<option selected="selected" value="">-</option>
<option value="01">01</option>
<option value="02">02</option>
<option value="03">03</option>
<option value="04">04</option>
<option value="05">05</option>
<option value="06">06</option>
<option value="07">07</option>
<option value="08">08</option>
<option value="09">09</option>
<option value="10">10</option>
<option value="11">11</option>
<option value="12">12</option>
<option value="13">13</option>
<option value="14">14</option>
<option value="15">15</option>
<option value="16">16</option>
<option value="17">17</option>
<option value="18">18</option>
<option value="19">19</option>
<option value="20">20</option>
<option value="21">21</option>
<option value="22">22</option>
<option value="23">23</option>
<option value="24">24</option>
<option value="25">25</option>
<option value="26">26</option>
<option value="27">27</option>
<option value="28">28</option>
<option value="29">29</option>
<option value="30">30</option>
<option value="31">31</option>
</select>                                 </div>
                                                                    <div class="l-row txtGray fsxs mts">
                                        <span class="l-cell accountCreateLabelBirthYear ui-inlineBlock"><label for="RegistrationForm_year">Năm</label></span>
                                            <span class="l-cell accountCreateLabelBirthMonth ui-inlineBlock"><label for="RegistrationForm_month">Tháng</label></span>
                                        <span class="l-cell accountCreateLabelBirthDay ui-inlineBlock"><label for="RegistrationForm_day">Ngày</label></span>

                                    </div>
                                
                            </div>
                        </div>
                                                                        <div class="ui-formRow">
                            <div class="col1 txtRight">
                                <label class="mts">Bản tin </label>
                            </div>
                            <div class="col2">
                                <div class="collection">
                                    <input type="hidden" name="RegistrationForm[is_newsletter_subscribed]" value="0" id="ytRegistrationForm_is_newsletter_subscribed"><input type="checkbox" value="1" id="RegistrationForm_is_newsletter_subscribed" name="RegistrationForm[is_newsletter_subscribed]" checked="checked" class="lfloat mts">                                    <label for="RegistrationForm_newsletter" class="lfloat mts mls">Nhận các thông tin khuyến mãi qua e-mail</label><div class="lfloat mts">*</div>
                                                                        <div style="clear: both">
                                        * Tôi đã đọc và đồng ý với các điều khoản sử dụng của Lazada                                    </div>
                                </div>
                            </div>
                        </div>
                                                <div class="ui-formRow">
                            <div class="col1 txtRight">
                                <label for="RegistrationForm_password" class="mts required">Mật khẩu <span class="required">*</span></label>                            </div>
                            <div class="col2">
                                <div class="collection">
                                    <input type="password" maxlength="50" id="RegistrationForm_password" name="RegistrationForm[password]" class="mts ui-inputPassword">                                </div>
                                                                </div>
                        </div>
                        <div class="ui-formRow">
                            <div class="col1 txtRight">
                                <label for="RegistrationForm_password2" class="mts required">Nhập lại mật khẩu <span class="required">*</span></label>                            </div>
                            <div class="col2">
                                <div class="collection">
                                    <input type="password" maxlength="50" id="RegistrationForm_password2" name="RegistrationForm[password2]" class="mts ui-inputPassword">                                                                    </div>
                            </div>
                        </div>
                        <div class="ui-formRow mtl">
                            <div class="col1">
                            </div>
                            <div class="col2">
                                <p class="mbs">* Thông tin bắt buộc</p>
                                <button id="send" type="submit" class="ui-button ui-buttonCta sel-new-account-submit-button"><span>Gửi</span></button>
                            </div>
                                                    </div>
                    </div>
                </fieldset></form>
            </div>
        </div>
    </div>
</div>
</asp:Content>
